Human-Robot collaboration in surgery represents a significant area of research, driven by the increasing capability of autonomous robotic systems to assist surgeons in complex procedures. This systematic review examines the advancements and persistent challenges in the development of autonomous surgical robotic assistants (ASARs), focusing specifically on scenarios where robots provide meaningful and active support to human surgeons. Adhering to the PRISMA guidelines, a comprehensive literature search was conducted across the IEEE Xplore, Scopus, and Web of Science databases, resulting in the selection of 32 studies for detailed analysis. Two primary collaborative setups were identified: teleoperation-based assistance and direct hands-on interaction. The findings reveal a growing research emphasis on ASARs, with predominant applications currently in endoscope guidance, alongside emerging progress in autonomous tool manipulation. Several key challenges hinder wider adoption, including the alignment of robotic actions with human surgeon preferences, the necessity for procedural awareness within autonomous systems, the establishment of seamless human-robot information exchange, and the complexities of skill acquisition in shared workspaces. This review synthesizes current trends, identifies critical limitations, and outlines future research directions essential to improve the reliability, safety, and effectiveness of human-robot collaboration in surgical environments.

Ambiguity in natural language instructions poses significant risks in safety-critical human-robot interaction, particularly in domains such as surgery. To address this, we propose a framework that uses Large Language Models (LLMs) for ambiguity detection specifically designed for collaborative surgical scenarios. Our method employs an ensemble of LLM evaluators, each configured with distinct prompting techniques to identify linguistic, contextual, procedural, and critical ambiguities. A chain-of-thought evaluator is included to systematically analyze instruction structure for potential issues. Individual evaluator assessments are synthesized through conformal prediction, which yields non-conformity scores based on comparison to a labeled calibration dataset. Evaluating Llama 3.2 11B and Gemma 3 12B, we observed classification accuracy exceeding 60% in differentiating ambiguous from unambiguous surgical instructions. Our approach improves the safety and reliability of human-robot collaboration in surgery by offering a mechanism to identify potentially ambiguous instructions before robot action.

This paper presents the design, development, and preliminary evaluation of a robotic dressing assistance system integrated into a mobile walker, RoboSnail, to support frail elderly individuals during toileting. The system features telescopic linear arms and adaptable roller grippers that automate the lowering and raising of trousers and underwear, addressing challenges in confined restroom environments. The compact design ensures unobstructed user mobility when not in use, while safety and adaptability are prioritized through mechanisms such as adaptable roller grippers and pivoting arms. Preliminary experiments demonstrated reliable trouser-lowering performance with a 95% success rate. Future improvements will focus on enhancing gripper adaptability, expanding stroke length, and conducting user trials to validate the system’s usability and effectiveness. This work represents a step toward autonomous toileting solutions that enhance independence, privacy, and quality of life for older adults with mild mobility impairments.

In the context of medical imaging and machine learning, one of the most pressing challenges is the effective adaptation of pre-trained models to specialized medical contexts. Despite the availability of advanced pre-trained models, their direct application to the highly specialized and diverse field of medical imaging often falls short due to the unique characteristics of medical data. This study provides a comprehensive analysis on the performance of various fine-tuning methods applied to pre-trained models across a spectrum of medical imaging domains, including X-ray, MRI , Histology, Dermoscopy, and Endoscopic surgery. We evaluated eight fine-tuning strategies, including standard techniques such as fine-tuning all layers or fine-tuning only the classifier layers, alongside methods such as gradually unfreezing layers, regularization based fine-tuning and adaptive learning rates. We selected three well-established CNN architectures (ResNet-50, DenseNet-121, and VGG-19) to cover a range of learning and feature extraction scenarios. Although our results indicate that the efficacy of these fine-tuning methods significantly varies depending on both the architecture and the medical imaging type, strategies such as combining Linear Probing with Full Fine-tuning resulted in notable improvements in over 50% of the evaluated cases, demonstrating general effectiveness across medical domains. Moreover, Auto-RGN, which dynamically adjusts learning rates, led to performance enhancements of up to 11% for specific modalities. Additionally, the DenseNet architecture showed more pronounced benefits from alternative fine-tuning approaches compared to traditional full fine-tuning. This work not only provides valuable insights for optimizing pre-trained models in medical image analysis but also suggests the potential for future research into more advanced architectures and fine-tuning methods.

This paper presents the design and development of a single actuator tendon driven two-finger linkage gripper that can perform both strong pinch and adaptable cylindrical grasp. The gripper mechanism consists of an anthropomorphic linkage finger with an additional revolute joint driven by a single actuator and a fixed thumb. The gripper can achieve a maximum pinch force of 11.7 N and an adaptable grasping ranging from 30 mm to 145 mm diameter, making it suitable for various applications, such as pick-and-place tasks in robotics and automation. Moreover, complaint design makes it suitable for the safe physical human robot interaction. In addition, proposed linkage finger’s characteristics were evaluated through kinematic analysis, simulation and experimental tests of prototype. The proposed gripper design is simple, low-cost, and easy to implement, making it an attractive alternative to more complex and expensive gripper designs.

In-hand pivoting is one of the important manipulation skills that leverage robot grippers' extrinsic dexterity to perform repositioning tasks to compensate for environmental uncertainties and imprecise motion execution. Although many researchers have been trying to solve pivoting problems using mathematical modeling or learning-based approaches, the problems remain as open challenges. On the other hand, humans perform in-hand manipulation with remarkable precision and speed. Hence, the solution could be provided by making full use of this intrinsic human skill through dexterous teleoperation. For dexterous teleoperation to be successful, interfaces that enhance and complement haptic feedback are of great necessity. In this paper, we propose a cutaneous feedback interface that complements the somatosensory information humans rely on when performing dexterous skills. The interface is designed based on five-bar link mechanisms and provides two contact points in the index finger and thumb for cutaneous feedback. By integrating the interface with a commercially available haptic device, the system can display information such as grasping force, shear force, friction, and grasped object's pose. Passive pivoting tasks inside a numerical simulator Isaac Sim is conducted to evaluate the effect of the proposed cutaneous feedback interface.